Individual
DR. MICHAEL COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
40 POPLAR ST, DANVERS, MA 01923-2249
(978) 774-8181
Mailing address
40 POPLAR ST, DANVERS, MA 01923-2249
(978) 774-8181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856011
MA
Other
Enumeration date
07/25/2012
Last updated
03/25/2016
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